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Home My WebLink About0267 SHOOTFLYING HILL RD .,�. .S'_.7v„C-... ......�-_..K -:- ill'!�]A.u��ilil._ _ _ i �FECYCIfpC o. llll � g UPC 12543 No. 5, ApS7 C9NSJ�� HASTINGS, MN ti•. - — - A�..:;..r.:.;, �..,-:...,...,_ .......-.:__w... .-..:.__,..:r., ..,�_._...__..r,i^:n,.a,.3:_..-r �-x x �_,.._:�,._....,.__�.__� U:._ti.M.....m �::..__�..z._..�_,..��__.��a...ri,_�..��_.a...._--m�n.,r�.._ _-.�rru :,,..er•s.r...�,yyews _ — _ .,.,, •. __.�.e„^.,.:.; r ' d }muse. ul nF-Lb FROnT 1'01-«} . NEW SMOKE DETECTOR REQU REMENTS ARE NOW LAW. EVEN THE ADDI TION OF A NEW BEDROOM WILL TRIGGER AN UPGRADE OF THE SMOKE DETECTORS FOR THE WHOLE HOUSE. Y U MUST PLAN ACCORDINGLY AND HAVE YOUR ELECTRICIAN TAKE OUT THE API IROPRIATE PERMIT AT THE FIRE DEPARTMEsIT. — JFMJ 0 0 ' EMU O. ll ;1 � SMOKE DETECTORS O.K. Eyy T lOn.-... *Jyd'SUALDr DEPT. 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REV Ie Eo.9 ,g gq d.�lY1S•"FLDD li'.. t.AiT=I7o�ISF'�:UDcD C DC714n P,-r R. '.8.....D.E514n. L"ct)^E RVIILE ID�.•'�'5°B-�4a8='IL7�+ A '-� ' I o ` ` �� xµ�h+moo \ LL • 3L°Y.}}z".'34-1 r65_opGn in/ . \ \ \ \ L� \ V \\ \ �• �x1� \ \ o t,j brwP _ \ 0L x eQ \ Q_ a\\ i-D( min - • a2�i-h o�4s°�G.�oiU . GraslG. i i - I QIR';'I11Rh-- LOflfil V T7- o : i can.Exvi�-� ,�.._ �za• �� — 1 . »ph�IF �in�lcs • _mh�fccs�l�r_'shin��es II�II .JI.L S ..E L&J!tgj10— asPhal� oh�nLtS I I . I I I I —W.L S ADD E ... o.,. —tom p j...��EvA7.ion F--- iris=—_:__=--_— n si4'n-axe .6i4n-'. ..... icen-exv�.�c,_ sra_4tstc� - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 000—DO()— Map �� & Parcel D T 0-1-, �� U� SA'PNSTAB� Permit# ]TM Health DivisionP--A L44V2 Uo — 2 Date Issued (o 1 0 Conservation Division 4 I�D x[ TALC Im JUN — i Pik 40 Application Fee ®~ Tax Collector Permit Fee & Treasurer o DIVISION SEPTIC SYSTEM MUST BE Planning Dept, INSTALLED IN COMPLIANCE VM TITLE S Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic OKH Preservation/Hyannis p TOWN REGULATION S IQOaM . Project Street Address d•5v 1 n 141 Village q q Owner f...� � � A wr., Address �3 l L IN Telephone 50 3 C ,1 Permit Request t1__ -- y" (^ �% urc, l Square feet: 1 st floor: existing proposed q 2nd floor: existing proposed b�� Total new 4 Zoning District ?F J Flood Plain Y YLk Groundwater Overlay Project Valuation Construction Type UJOL-Al Aiorho Lot Size 451 Grandfathered: ❑Yes. MNo If yes, attach supporting documentation. Dwelling Type: Single Family Cr Two Family ❑ Multi-Family(#units) Age of Existing Structure fbY, Historic House: ❑Yes 2_1�0 On Old King's Highway: O Yes Basement Type: ❑Full O Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing 1 new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O'Gas ❑Oil ❑Electric O Other Central Air: ❑Yes C9'�lo Fireplaces: Existing I New Existing wood/coal stove: ❑Yes UK Detached garage:❑existing ❑new size Pool:O existing ❑new size Kolrt L Barn:O existing ❑new size Attached garage:❑existing Ignew size /Shed:Weisting ❑new size FX10, Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial 0-Yes _,&No If yes, site plan review# Current Use 1 I �i'b1k, Proposed Use &M-11tA BUILDER INFORMATION Name _ Y /4/ � J /L— Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY m PERMIT NO. DATE hSSUED _ .y 7 MAP/;PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION </d O T� "i FRAME \' INSULATION FIREPLACE ELECTRICAL: ROUG-- R1 FINAL. 9 1 PLUMBING: ROUZ Q QC® FINAL GAS: ROUCIR 0 m DC FINAL q FINAL_BUILDING Q Z �trwO0 ms QfS QN .. DATE CLOSED OUT fro S ASSOCIATION PLAN NO. o- The Commonwealth of Massachusetts '. Department of Industrial Accidents' 600'Washington Street _ - , Boston,Mass. 02111 . Workers'..Coin msatiion.Insurance Affidavit-General Businesses •L. r� .. address: .... ^ . n^c� •�� ••,f ' state hone -l7(✓1D- -'.• - work site location full address []Retail❑RestaurantBai/Eat�ng Establishment I aIIi.a sole j�roprietor.and have no one $psiness Type: ❑oi ke*l] Sales (inclndingReal•Estate,Autos etc.)' working in any capacity. ❑I 071 am an em to with etn 1 ees(full&' art time . ❑OtherNIN % //////%%%% ees world on this job.. . I am an employer providing vLorkers cbmveaTabon for my y. : • • g ,. ' :,1 ::it�lr}i:t': :'r" _. •�• •;'t'��r��'�:1<: C;.i,l"'' •�' _. 7� '9_• �,;•i:•1rt•, ?;`r?:.•;;y:.ti ':1; :�r .:.'F`v.. 1:311 to i ° •: l � :. r , y^,•'.t''It:rr• e.+,'':,.:i,'-, _ a;a:,';;r::it:i.,.. i : ��' .vJ !., :r'.k:.r•. ' § `Cd.i:'-• 'R.�r, a•c'•r::ir• s.^Cr•d'�,�ii.�•.h:;:.t .'d•=k:.l!F�•!?'4c� i• .1 ,,:r.,:'- Sti�r•Jt:a: ••5• '1•i"'', .I�:�,.)Jj ::�ii;�: - '.:'t••. - ' 1r '1. li•:•t.=`1': '•• •.ir+.�•ets�. .�:••• { '�.•. . •:•1: ,��'. .r.• ', .•t• . i '� dit ., hone:. S:: s•. '1.. .,r•.is'; ..{,F••. 1• '!.. ;1, ,:.•� ...•1,.j•: ;� .•• '' .''••' j.t.l al.^k'y-i: •t 1,£�.�., Olt '.tt'� •.r. ••�: .:" c'•i.n•......i • •ei! ' U' •..l!„ }14 u`� .'y +:'�':y'o!.'.., •li'1_o:. !.':•:• .. 1 C. .0 .�.... ::i•• .:r:. igsuralice T am a sole proprietor and,have hired the independent contractors listed below-who have l e following workers' r .compensation polices: :;'.::t i.•=,`.•• ,r•. •'i" rr.jr•. f% -<' ,!f :4^r g,•.,�:.,yi+''• :;rr:f, vt•4• .::: ien 'II9II1C. :y,. ,�. t 1?' ;4.I...I Y.•� i.lr fir;':. Y,. i +v 1 :': ,•..1:'�`. ,fix?' i1;,e�f. \�� :• -:r:.�••. I,y•= •il.• rrl; ,, •r. •, ,�ti :r.9r,..3'. rti •c,'I'. S:�:i a"t. ':: �: .!.� •,t•1: ,,�.q rS _ -'`rJ'r'Y.?'t. 61C •'•.` �,,. .,L• •!r .e :S:•1••;..;\rr:'j4oi' =flit.' • 5 ,,•,:' + � � 1•'�,•�:x;- .i } .r• ''_•�•• `11' l.. ' .-• • , •..•.;. ,•. •..)� •, \ '• - t 1"•r:'r:y•.J�:. �1•,.Wit.: , :•: �:�.•: .. •:;,• •;. ,;,7c •:rY• v.e,:•. �•;;,a. •r:';1`o7ic �#':,r.}1.2,•�.: irisurence'co. ��'�r'-•° " tl.r ;.�r ,'"{PF ..,•!: �:r.•fit•:r,. ••(.: �lr i>"c t. '!t: '`•5. � ' it''1'rp'` /'.' r :-i.-r :`•: r�? is .:p { t.,, o�•' .J• f.. �! I;n f .r4,s 8adre`ss: a , : i• r�.. .hy c.' t ,. .. , .. 4 , .r4..r .^i. "i•I:°' •,,•i •�S�:�Yit1•.i,.rMr l •'C:. 1' • Cl' J n �a•Y:. ^l's�1.c: t. ` �1.. �1.11.:I,k :, • ..�:r•- •.i.r• ;�,.�:•..{y,�• .Ih• /tJ v �' :� -;'., .�It'' .,1.' 1•TS ,. ••• t>' +.�F:{14•; :/ •�-� i�•:^ ,, .=;r. !- i .�.:. ,y�• ?!1'+:i,.tr art ' •:1', '.'i!' 's: ' •' '� ,1•. r•�.;•' •?b�;.r. !rfr: •.. �:3•i�' C{.i.'1.S::w'.�.a. �'OIjCr :}r i'� 'ra ''.•,'' 1•�� Pit 500.00 Now GL 152 can lead to the imposition of Of 8 Failure to secure coverage as required penalties!a the form of a STOP WORK ORDER and a fine ofcriminal S OO.DO eaday egainst�m I understand that IL one years'imprisonment as well copy of this statement maybe forwarded to the Office of Investigations of the DlAfor coverage verification I do hereby ce i under the pains d enalti b erjury that the information provided above is true and correct Date 1 Signature ll // (� ' Phone#�c—�-rld ✓-! �. Print named a�� official use only do not write in this area to be completed by city or town official permit/1lceme# []Building Department city or town: []Licensing Board • o.selectmenxs Omce (3'checkif immediate response is required []Health Department , contact person: phone#; ❑Other (Fee ed Sept 100�) , Information and Instructions. Massachusetts General L`aws-cba•ter 152 section 25 re wires all to err to rovide.workers' ensation for'their. . p q Y P � , s:a employees: As quoted-from the f`law", an employee is.defined as every person m the service of another under any contract ' of hire; express or implied; oral or written. . association, corporation or other legal entity, or any two or mgre of oy An empler is defuied as an individual,partnership, . the foregoing engaged in a•joint enterprise,and including the legal representatives of a deceased,employer,'or the-receiver or trustee of an individual,partnership,•association or other legal entity, employing employees. 'However-the owner of a dwelling house having.-not'imore than three apartments and-who resides therein, or the,occupa&bf the dwelling house of another who emploj�sp soils to do.maintenance, construction or repair work on such dwelling o*use•or on the grounds or building gnurtenant thereto shall not because of such.employment.be deemed to be an employer.•.: , MGL chapter 152 section 25 also*states thatever7 s'tate'or local licensing-agency shall withhold the issuance or renewal of a license or permit•to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable•evidence,of compliance with the insurance coverage requiire& Additionally;neitberIbe' ' coimmonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting . authority. ii�iiii�iiii�0�////////�%�D/d„/O/////%D/�%/OG%%%%//%/%//////�////////////////////%//////%%%/%//��/��i,��/ • Applicants Please fill is .the workers' compensationaffidavit completely,by checking the box that applies to your situation..Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Xndustriak Accidents•for confirmation of insurance coverage. Also'be sure to sign and date the - affidavit. The affidavit should be returnedto the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the'"law"or if'you ale ensationpolicy,please call the Department at the number listed.b low. required to obtain a:wgrkers.'•comp , City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the affidavit for you to'fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the perrrnt/hcense number.which will b'e used as a reference number. The.affidavits may be.retumed to. the Department by,114 or FAX•unless othei'ariangements have been made. The Office of Investigations would like to thank ybu in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: . ' The Commonwealth Of Massachusetts Department-of Industrial Accidents Dino of levee Rogns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 E r Town of Barnstable . �� °may . o* Regulatory Services aax�sz�a $ Thomas F.Geller,Director 9 1619, Building Division �''rFD MP•t k . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 0ffice: 508-862-4038 ' permit no. Date AFFIDAVIT HOME IlaROVEMENT CONTRACTOR LAW SUppLEMENT TO PERMIT APPLICATION • MGL c.142A requires that th ec o�onstruction of an addition toon,repair,any pre-existing o�wr�er occupied conversion, improvement,removal,demolition' units or to structures which are adjacent to bUt�g containing at Least one but not more than four dwelling such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Wor • Estimated Cost ` _ A+Address of Work Owner's Name: Date of Application I hereby certify that: Registration is not required for the following rem on(s): [Work excluded by law []lob Under$1,000 []a ' ding not owner-occupied Leer pulling own permit Notice is hereby given that: OWNERS pULLING TEMIR OWN PERMITM R 2PROYEMENT WOI DEALING VVITH UNREGISTERED D �ONOT HAVE CONTRACTORS FOR APPLICABLE H ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERTURY Ihereby apply for apermit as the agept of the owner: v Contractor Name Registrationl�Io. Date • n Owner's Name Date l• RESIDENTIAL BUILDING PERNIIT FEES .' APPLICATION FEE $ ® ,.Q0 . New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW Llvnvc sP g 7, � � Ato _square feet x$96/sq.foot= x.0031= Plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE / �S x.0031= 10 square feet x W/sq.foot= ®9 plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1� . >120 sf-500 sf $35.00 ' >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= c - r72X a *32" d23�9c� x; STAND ALONE PERMITS Open Porch �_x$30.00= 3o.a o (number) Deck x$30.00 (der) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost Boa t Town of Barnstable Regulatory Services # '• Thomas F.Geller,Director •�`bp, � Building Division _ • Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ' office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I r ,;.i ow•net.of the.subject plop ._.._..._. .: hereby authorize la all matters relative to Work authoEze.d.by this bwlding•pe=t-apphution,for: (Addtes of Jo 14 Signature of et Date Print Name Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.5 Release le Data filename: C:\Program Files\Check\REScheck\#4124.rck PROJECT TITLE: New Custom Addition CITY: Centerville(Barnstable) STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 04/02/04 DATE OF PLANS: 03-05-1999 PROJECT DESCRIPTION: 267 Shootflying Hill Road Centerville.Ma. 02632 DESIGNER/CONTRACTOR: Leonard Leon 267 Shootflying Hill Road Centerville,Ma. 02632 PROJECT NOTES: MaCheck by Cape Cod Insulation INC. #4124 COMPLIANCE: Passes Maximum UA=205 Your Home UA=200 2.4%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 550 30.0 0.0 19 Ceiling 2: Cathedral Ceiling(no attic) 198 30.0 0.0 7 Wall 1: Wood Frame, 16"o.c. 1172 13.0 0.0 79 Window 1: Metal Frame with Thermal Break:Double Pane with Low-E 110 0.340 37 Door 1: Glass 40 0.320 13 Door 2: Solid 20 0.180 4 Door 3: Solid 20 0.300 6 Door 4: Solid 20 0.420 8 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 580 30.0 0.0 19 Floor 2: All-Wood Joist/Truss:Over Unconditioned Space 160 19.0 0.0 8 Furnace 1:Forced Hot Air, 80.2 AFUE i COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release le (formerly MECchec4 and to comply with the mandatory requirements listed in the REScheckInspection Checklist. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date RE Scheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.5 Release le DATE: 04/02/04 PROJECT TITLE:New Custom Addition Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: [ ] I 2. Ceiling 2: Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1:Metal Frame with Thermal Break:Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes[ ] No Comments: I Doors: [ ] I 1. Door 1: Glass,U-factor: 0.320 Comments: [ ] I 2. Door 2: Solid,U-factor: 0.180 Comments: [ ] I 3. Door 3: Solid,U-factor: 0.300 Comments: [ ] I 4. Door 4: Solid,U-factor: 0.420 Comments: I Floors: [ ] I 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: [ ] I 2. Floor 2: All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air, 80.2 AFUE or higher Make and Model Number I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. s ' I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I Duct Construction: [ ] I All accessible joints, seams,and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 OF or chilled fluids below 55 must be insulated to the levels in Table 2. Fable 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) Town of Barnstable Regulatory Services &UU*TABM Thomas F.Geiler,Director Q TQ Muss.plEO�p10� Building Division D Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: '508-862-4038 - Fax:.508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 01 oz umber n �/J [villllaggee "HOMEOWNER":_ nl�f'.D�r��/� 460/n s ._!i��—6 ?/ l O��iP name .• home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and - to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as §Mervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or.two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs mom than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she-shall be responsible-for all such work performed under the building:permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable-codes,bylaws,rules and regulations. The.undersigned'.homeowner"certifies that he/she understands the.Town of Barnstable Building Department - - minimum inspection procedures and req_ ' ements and that he/she will comply with said procedures and re ' e ents. Si lure of HomeowneVf Approval of Building Official Note.L,Three�family dwellings containing 35,000 cubic feet or larger will be-required.-to-comply-w. ith the. . State Building.Code Section 127.0 Construction Control . r. HOMEOWNER'S EXEMPTION The Code states-that.."Any homeowner performing work for which a..building permit is required shall be•exexnp.,Vffroni'the provisions - ;of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a " s6 kfor hire to-do such work,that such Homeowner shall act as supervisor:" Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for.Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed.persons. In this case,our.Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by .Weral towns. You may care t amend and adopt such a form/certification for use in your community. V J M The Town of Barnstable Department of Health Safety and Environmental Services �• Building Division 367 Main Street,Hyannis,MA 02601 ise: 508.8624038 �. 508-790.6130 PLAN REVIEW Owner:_. h Map/Parcel: ",j jy-e l y-6 0Z. ' PrOjectAddrew: o267 S6.KI i A)I Builder: QWNF—?— following items were noted on reviewing: , A ` �e A atti Cv�.lkcCrt:�d 11AVKl1Qx- _. u Reviewed by: Date: _ ._ TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 000 000 '079 GEOBASE ID ADDRESS 267 SHOOTFLYING HILL RD PHONE (508)771-000& W. BARNSTABLE, MA, ZIP- 02668 LOT 1,2,3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT 'PERMIT 23660 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#21615) PERMIT TYPE ' BCOO TITLE CERTIFICATE OF OCCUPANCY- CONTRACTORS: Department of Health, Safety (ARCHITECTS: and Environmental Services TOTAL FEES BOND $.00 Oxt�lE CONSTRUCTION COSTS $_00 I_ 756 CERTIFICATE OF OCCUPANCY * BARNSTABLE, • i MASS. OWNER PRESTIGE PROPERTIES, INC. , i639. �� ADDRESS 1645 FALMOUTH ROAD FD ! •CENTERV I LLE MA BUII rNs SI BY DATE ISSUED' 06/10/1997 EXPIRATION DATE �'. w 1 055 ; PARCEL, ID !9-14- 01.-4• GEO AD,DRES�4j296-. SgQPTFLYING HILL RD PHONE W. -Bernetable ZIP - - LOT \1 2 3 & BLOCK LOT SIZE DBA DEVELOPMENT _ DISTRICT WB PERMIT 2161,5 DESCRIPTION SINGLE FAMILY DWELLING PERMIT TYPE BUILD TITLE 4 NEW RESIDENTIAL BLDG PMT ,'- • ' CONTRACTORS: PRESTIGE. PROPERTIES, INC. Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $203.05 BOND .. $ 00 , CONSTRUCTION COSTS $65,500.0.0 101 SINGLE FAM ROME DETACHED 1 PRIVATE P:'6#�:�� MASS. i639. �0 OWNER PRESTIGE PROPERTIES-, EDMA�A ADDRESS 1645 FALMOUTH ROAD BUILD IV N CENTE�V.ILLE kA BY DATE TSSUED 03/11/1997 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR;SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED ' FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS.' 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS Vl,,SIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALSELECTRICAL INSPECTION APPROVALS y 1/ f-7. av e i,r ,. 1 �0 u G ® L' 14.G a _ csC /Vt�'T G �vz l d �j �r- a 97 2rs Q ��-97 Co rr�s 641�7 L 1 HEATING INSPECT PPROVALS ENGINEERING DEPARTMENT 7 a� G°, r G HE H ' s w wTu 0 0 - OTHER: SITE P REVIEW APPROVAL FIRE DEPA h 1 ItA PR IT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR H S ROVED STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES`OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. "J ...3. .�� ir.' y �.�1 ,` � I,. ;�: S • mow.. � ,�`4. � n g� ... I - •L e L /^ w _ / , �� .. ��`y } e • �. s . .. - ,� ��. -. _� � _ : �, •►r"-t�'('.�++dr;�nt)y.-•9'��.�r��r�"-� r"�-i9tr� Lrw+.ohr+rnit'¢"t a�l'Y""'.`'r t")` '"�- �'4}�'''�!`. i}' �'� lk� "�'y,i °4`,��+.'7 -- 1 • t of ► ti >Tlie Tow . of�Barnstable ` o� M A LE. ' Department of Health Safety and Environmental Services' •asp .0� '�fn,u•+" Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice t. Type of Inspection • �`j ( ''✓ Location �2cp C Sao; ti Permit Number l Owner -7pr- iF S A / ( Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: o h/ 0 e ti i 9t A v r r -4e 1M 1 X r( .� C PI f .q't- i7'J� i/2 S T'fJ cW ' o w P l�� fit,— CP((,4j L 1 Please call: 508-790-6227 (f r re-inspection. Inspected by �,;� /' L Date (43/9 7 oF� ' o The Town of Barnstable BARNSrABLE.p• Department of Health Safety and Environmental Services MASS 0 ,63q. �0 '�fv►+a+° Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection �j F-►� �---� P Locatior�( SI W7411```�,, Y��, f - l� Permit Number 51 Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items_,need correcting: n,. R Tqo C; r. Ll� ��(�Ff�i -0,1- c 02 C160 n- Tc��CTS ` 3-e 1� 4�o e .�' �c .� 'Z 0 )f 444-/.O A911 V/a.O.D Si b i fa'om N,.017 � ,� [� A...� � S 1 4 It t lam ) IkA i y t. U .,...__ 3 ( f -PA a i--ca (01,c t IC ?O c A A 444 D T t ,e- 13-e-4-0 z- Please call: 508-790-6227 for re-inspection. Inspected by c�� C/C.�. '`tom t1--40z./� IM (.� J t u �.�..- 0 Date `�,f� � 99-7 nn � � 7 The Co innon1t'C!t!1!i of Atassuc•/tusctts '•�--.°�j:_:- Department of ludustrial Accidents r J �_ \• Oficeoflav9SM21fons 600 N'ushington Street Boston.A1uas. 02111 iw Workers' Compensation Insurance Affidavit �I�plic.intinformatitin'• /�r�sl :�•� �ru/�e/F ��C �� • • name• J 1 �,.,,.;„ C�9 a o A a c 7 S-7 010 7 '-''P 11 /Z�✓ f -7-7l ' (In3 cif+• nhnnr� I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity .. - ... '��-• ._� -w�.�.•.:=e.s.-.s�4�cs..w.R+'l,1rl++"'i/q!"...w.w.•,�^,��.i.w�ww.w.^�Y�...•.�w��w.+�.......�,•,...=..__...�� t] I am an emplovreroviding workers' ompensation for my employees working on this job. s f , � Yb c✓G• e s com tam• na e: address: rV� city. �e^�'` Phone N. - 4'a Iicv 0 we v 0Gaa 76 � insurattcc co, no [I 1 am a sole proprietor• general contractor, or homeowner(circle ate) and have hired the contractors listed below who have the followin_ workers' compensation polices: comn•:nv nitne, �ddreas• cirv- nhonc t!• incurincr cn noiicy a comnanv n• ine, iddress- city phone�#• incur•tnce co nolicv tt .Attach additional sheet if nlecssa -__:.•"' i�_^_-__: � -^is' •'�:t:�".:�--'-.:.�__� •f;:___�__••_Y..._.-..�- - i.=�a•:j�ie�= ••.r.�.:��:.x. Failure to secure ctive,at:e as r q tred nder beet :SA of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur one%-cars•imprison lent:t.+ :►s ci I penalti i the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a cop)•of this st. cm ma, f r++•ar ed tot e O tcc of Investigations of the D1A for coverage verification. I do herebt•c•nift i t e t/ tut s and ena tics of perjurr that the information provided above is true and correct d ( S-7 Si_nature Date Print name 't r' Phone# '7_7 l r 623 official use un1% do not write in this area to be completed by city or town official cite or town: permit/license it f Building Department Licensing Board G O check if immediate response is required 0Sclectmen's Office C311calth Department contact person: phone#: rnOthcr i 5. information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers` compensation for tl employees. As quoted irom the "law all cmptoree is defined as every person in the service of ant'ither under any contract of hire, express or implied. oral or written. An emp/ot•er is defined as an individual, partnership, association. corporation or other legal entity, or any two or tn, the foregoing cnaiged in a joint enterprise.-and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However owner of a dwelling house hiving not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling l or on the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an emploN MGL chapter 152 section _5 also states that ever state or local licensing agency shall withhold the issuance o►- renewal of license or permit to operate a business or to`construct buildings in the commonwealth for an- applicant -----ho inns not produced acceptable evidence of compliance with the in coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of pubfir work until acceptable evidence of compliance with the insurance requirements of this citapte: been presented to the contracting authority. Applicants Please full in the workers' compensation affidavit completely, by checking the box that applies to your situation arc supph•ina company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the aMdavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are require to obtain a workers' compensation policy, please call the Department at the number listed below. . City or'I'owns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pl be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returnee the Department by mail or FAX unless other arrangements have been made. , The Office of Investi=ations would like to thank you in advance for you cooperation and should you have any ques6 please do not hesitate to give us a call. - The Department's address. telephone and fax number. •:ICYi The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashington Street Boston,Ma. 02111 fax #: (617) 727-7749- u. (41 7) 717-10M .,.r 106- 409 or 17- :r•'ftx. '^X•x..:: .e< A:i:s."Nsy' ..Ife;yah `Sk#:n"�. 1 YY VBPATS(MMIDD7 ) CY •'St ' j,<Y 12/26/96 PRnDUC:RR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI.GHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE JOHN MCALPINE INS . AGCY. DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIN:S BELOW. ONE CENTER PLACE COMTAN1ES AFFORDING COVERAGE CENTERVILLE, MA 02632 i.OliP BCrB{"OI)R COMPANY A EASTERN CASUALTY LETTER COMPANY B — LPTTBR INti11kP.D - PRESTIGE PROPERTIES, INC. COMPA?IY C I.1?TTLR 1645 FALMOUTH ROAD COMPANY D 1.F"ITLtR STE E-1 CENTERVILLE, . MA 02632 COMPANY E LErn•:x•x..x• :'x: >:r ..:ax.b r: �:f?f{, .9,'k•r.�4: '�Yi y• ','$<: r',,i>P< .R`w ..;i: «:x;:•;:i,:x: :,X. .r.ie:r:5i:4:x•:.'�yy,,�'±x:..dx K•?1k°r?'S�<. /� r4i .•d:ue. �.{R' 'iS<�'�>eye. ,x x r. z:N •eex?n ,is .4N�. <..`S. Y 'k^.e./ Q ...d.:�9.x`l` .� i )n:.n ...:4f0'Sb J.. .•:, »,R�»x::. e. xKr.. >.)!`.'rx. .x4:...,gg ..w.�....G.$...•i•nM x/ bi.iii'i:ii x.. .r..S�p:..n•r.•r:Y.,.;r.x:.x.w:'L ..x•,"�.r.�., ie.rk n�i i:roir�teu•ro:r:::r.r. ':'J''ii;i!':i{%: ,..:::.,: .x4 ' r• .:,n .r:....�. . ..r t.,>.x..:.........ft.x i,n.r.•..•:.. %�<.wt,.Irn.r:..��xAw•w'nr.,...r?:�.'^7:^t,.x.•..r,r..?::»ve.'•i::.ei::?.1!.�.... .... ::::......� ♦..... IIIIS iS IC)CERTIFY 111AT THE)`OI.iCIBS OI')NSLIRAN(7)?LISTED NELAW HAVR BEEN ISSUED TO VE INSIJKFD NAMM)ABOVE)'OR THB POLICY PIJRI()D INDICATED,NOTWITHSTANDING ANY RBQUIRVAENT,TL•RM OR CONDITION OF ANY CONTRACT OR OTHER IKX UMENT WITH RESrRCT TO WHICH THIS CERTIFICATE MAY IIE ISSULI)OR MAY PFRTAIN,I'MR INSURANCE AFFORDED BY IIIE POLICIES DESCRIBED HEREIN IS SUBIISCT TO ALL VE TERMS, FYCLUSIVNS AND CONDITIONS OF SUCH K)LICIHS. LIMITS SHOWN MAY HAVE BEEN IkEDUCED 14Y PAID CLAIMS. I yr KIIACY EFPE(' vK FOLIC)'RICTIRATIO LIMITS I.TR 'TYPE OY MURANCII POLICY 1'RIpiHRR fl DATE(%IMmbM') DATE(MM/DDA'1') rVArAAL LIA14111TV OEANPJtAL AOORYnATT i COMMERrIAI.ULN.UABII.nY PRODIXIMCOMP/OP AGO. t r,LAWS MADE OCCUR.. PliRMONAL&ADV.INJURY i OWNER'S k C:ONTPLACTOR'S PROT. EACH OCCURRENCE f PELS DAMAGE(Ary o m fbe) S MED.E%PINSE(Aay cm porra8 1 A11TOMOSILY IIABILITT I COMBINK)SINCJL13 3 UMIr ANY AUTO ALL OWNIII Amos BODILY INJURY I (Per PMON SCHLIA)I PD ALTOS ••. HIRED ALTOS BODILY INJURY = (Par A.Idav) NUN-OWNFJ)AUTOS OARAOF(.IABILnY PROPERTY DAMAOD S V(X(, LIABIL - EACH OLXXMltENCB i UMBRELLA MAM AOORWATE T� f 01HER THAN UMBREUa FORM iy � k! , 6?ATVI'ORYLIMfTs' �>• �'�i.�'.•X ':�� N'ORKRR'6coMPBNRAnoN WCV0022768 06-21-96 06-21-97 -EACH ACCIDENT s x 100, 00( AND DMMSD.POLICY LIMIT { 0, 00( 8Mv1.IrYERS'LIABILITY DISl)ASB&DACH EMPLOYDB $ 100, 00( onlR ' DESCKIPTIO r ONtin.u/:A U BNIf CIAL IrBMa <.<•i:.x': „ •in>::'•Fe. 'y;K,•�:•n x Qi ,• :479`.nCx.4` •%•Xsa '',x>.:SK>C Xv oi::'`' '2<i'x•::t:v,� :rt;K:t!%.%:%:x :�::��(( X ..Y:. .i•i:4 „XS YXx. ':a` >a•.f x;. -11UULD ANY OF THE ADOVR DBSCRIBL•ll)`OLTCIfiS$li CANCELLED HEFORl 911E TOWN OF $ARNSTA$LE 'yT EXPINATION DATE 111F.REOF,THL'ISSUING COMPANY WILL ENDEAVOR TO MAII 10 DAYS wR FINANCE .DEPARTMENT _ 1'f 1'r<N NOI ICE 10 71113 CHRTIITICAT S D y HOLDER NAMt O THfi 230 SOUTH STREET K4 LI?FT,BUT FAILURE TO MAU,SUCH NOTICH S11ALL IMPOSE NO OBLIGATION OR Li LIABILITY O?ANY KINr)UPON THIS COMPANY,1-IS AGENTS OR REFIMSFNTAT7VI=4. S HYANN I S, MA 02601 >:; AlTHORIZED REPRORNTAPff— #11332-21' xs 4Yr id: » 'kK�[:>!:: ^'<OK,4; :,f:yrrr :<';:i:yn::.••r:<.»>:ox•>a':):.; o:q...xyF,.!Y Yk�k6i .< XatJY,fKf:' n 7:'1.:y.9."' y;<Yr<...:5.'•F.. .) Z:: Y' .4x•a. :�'S:Y:2 M� .n'd:<.:e: .>:{:,x' f,>sA>T.S 'xF"�••` .F1'tDX4>: > J3 .G. ,•ry 1''�.� ..<All x:x•:•.;e+:%' ..RY�f:•<k < S.�x. .sl. .xi<4•%.:..r...< ,'.i�`;<a2 .Yy•S[�e Aif: y „„ }p� r�9/!f � ` N QQ�� 'V: .�1��1F! <":S:s:::Yi<.<i: •ro:l.».... :Y .�.�xR.x.r %ee$j.:'di:..:..o%•;�: �'..e ..3�% ..t. `k., .'.�I� ...Q6:'�T.KI�:: �ro:i.'.ITJ {ix:s>a:::'<:.r:):•. Y,�^:<.:::..�:?j... :r xv).);..>:.r:.•.: L ,71te o HOME IMPROVEMENT CONTRACTORS REGISTRATION 8(-)a T-Ci of: 13Lii.1dinq F'oor;l 13101 0 f I -oil Oost' zz I HOME IMPROVEMENT ('.'ONTRAC,rof, 121. <P i r,a i,ion 0' L 9 8 Type INDIVIDUAL H!I;ME IMORAVCV��jT �'!INTRACTAQ R27;strat100 12)i-)i: 1-IMCDT11-1Y J LUFF' Type - INDIVIOIJAIL T M r!-V- T ,' 1550 FR 0 U1 T E.' 2 1� ,-IVT L I F!A Q.:2 -3 TTMCfHy J LOH T MONY J. LUFF L550 ROUTE 23, 44 ADMINISTRATOR CENTERVILLE MA 02632 <2 DEPARTMENT OF PUBLIC SAFETY 104980 ONE ASHBURTON PLACE, RM 1301 BOSTON, MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 TIMOTHY J LUFF iy "' Keep top for receipt and change 1550 ROUTE 28 #4 of address notification. CENTERVILLE. MA 02632 F'. S 01PARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Restricted To: 00 TIMOTHY J LUFF 1550 ROUTE 28 44 CENTERVILLE, MA 02632 N/F LOCKE TRUST / -t K fs P")A Assu t"f5 a LOT 20A A%AKDoN1tNt cm 59.459 sf a Ra A ow&y %Al 2� (1.37 ac) T l}t5 ARu A a F YPQ 'l a OD N / N/F / LOCKE TRUST LOT 19A 97.3'f w in N CONCRETE FOUNDATION 20.1't T.F. = 57.3' rn J J , �.120 •�� 29.71' R;527 HILL ROAD SHOOT FLYING JOB # 96-33.0 CER TIFIED PL 0 T PLAN LOCATION : SHOOT FLYING HILL RD. CENTERVILLE, MA SCALE : 1" = 50' DATE : MARCH 4, 1997 PREPARED FOR: REFERENCE LOT 20A LCP 22556 PRESTIGE PROPERTIES I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE 111 Of GROUND AS SHOWN HEREON. o��` ARNE off 508-362-4541 f« 508 362-NW 3 CAdown cape engineering, inc. CIVrL ENGINEERS I LAND SURVEYORS G"�! ----- ---------- �W J s39 main sL yarmouth, ma 02675 DATE REG. LAND SURVEYO %11-'Le.to^ ' _ �: •• .. _ ; 0 i � ems--+ r'��':�r —:----- � 4 - _. _ -' . _ ! 0 I W r��Chu 3 -•' ' I IY X c a,;v� I rj�rt;N't I I I •• ? N C I-��1.1•�I i 1 i f l �,6` Rf bra i -AR IJ t L I IaT �Itl � _1 • I I I ,7 4i' WOo�las2. U o IC f I 1 u'' r�r m9 a!�oa i-I r A /\� �� . � _ � �' 2 �J ��\ 1 }-1 � �C� O � - 1 000 -COO Assessor's Office(1st floor) Map Lot Permit# �lp Conservation Office(4th floor) LL 1 y Date Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00) 2 Z_ `�� _Fee cr , Engineering Dept..(3rd floor) House#1 J' QL(9 7 �`ls "IVsA /C Planning Dept.(1st floor/School Admin.Bldg.) e4l Definitive Plan pproved by Planning Board -P c_ 19 �1( �i��tC` q �',► TOWN Off:BARNSTABLE 0 Building Permit Application Project Street Address (7?-► - : Il ev? [�j 7pA- Village Owner p_ .�e p'a� Address 1'6 1,_,.W L ,��/. ee,_4e,V. Ite Telephone -7-71 - oar 3 Permit Request c S r.0 G f ticw s.-n F c �-�H, ;C,I d"le//•�.� ` • 1 aTotal 1 Story Area(include 1 story garages&decks) a square feet Total 2 Story Area(total of 1st&2nd stories) y 5-L_ square feet Estimated Project Cost $ 6 ', ' d 0 " Zoning District Flood Plain Water Protection Lot Size 5 97 y 5 9 Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use KP C/'N') - SIN(rCC �AM1CJ Proposed Use � Construction Type 6' Commercial Residential x Dwelling Type: Single Family K Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished x Old King's Highway Number of Baths ` �Z No.of Bedrooms 3 Total Room Count(not including baths) ` First Floor 3 Heat Type and Fuel Nw/ G s Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool, Attached Barn None Sheds Other �a Builder Information Name y.esf.'4.� P�°/u� F "s Telephone Number ��1- qua 3 Address ��yf ��a,w6C �"� License# d(. �� Y Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUMON DEBRIS RESULTING FROM(/THIS/PROJECT WILL BE TAKEN TO �c r 7 -'14 SIGNATURE t DATE / <y S-7 BUILDING PERMIT DENIED OR THE FOL OWING REASON(S) T FOR OFFICIAL USE ONLY r f`x�PERMIT NO. DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE OWNER - DATE OF INSPECTION: 4 FOUNDATION FRAME INSULATION, FIREPLACE - ELECTRICAL: ROUGH FINAL L PLUMBING: _UGH FINAL + GAS: , s � R FINAL FINAL BUILT I( � t;- 6!gs 0 ;t' DATE CLOSED OUT ,0% ASSOCIATION PLAN NOS EXISTING SEPTIC SYSTEM: REF. P#8801 SEPTIC DESIGN: (GARBAGE DISPOSER IS NOT ALLOWED ) DESIGN FLOW: 3 BEDROOMS (110 GPD) = 330 GPD USE A 330 GPD DESIGN FLOW RO1lE SEPTIC TANK: 330 GPD ( 2 ) = 660 w USE A 1500 GALLON SEPTIC TANK 2% SLOPE REQU!RED OVER SYSTEM LEACHING: 2' DOUBLE WASHED PEASTONE LOCUS SIDES: 2(40.25 +6.83) 2 (.74) = 139.4 BOTTOM: 40.25 x 6.83 (.74) = 203.4 TOTAL: 463 S.F. 342.8 GPD C3 Ell C3 C3 O C3 C3 O EXISTING SAS CONSISTS OF 5 MAXIMIZERS WITH 2' o E3 C3 0 0 O C3 O EJ O STONE ALL AROUND CD C3 C3 E3 C3 C7 O O . / 2' OC3O0 E3 E3000 o J ? PROPOSED ALTERATION OF EXISTING 3/4" TO 1 1/2" DOUBLE WASHED STONE SEPTIC SYSTEM' PROFILE OF PROPOSED 500 GAL. CHAMBER ADD 1 BEDROOM CAPACITY TO SYSTEM: LOCATION MAP (NO SCALE) INSTALL SUCH THAT INVERT IS AT SAME ELEVATION AS RE—USE EXISTING 1500 GAL. SEPTIC TANK INVERT OF MAXIMIZERS. ADD NEW D'BOX AND PIPE TO SAS AS SHOWN (TOP FEED MAXIMIZERS) FOR LEACHING FACILITY: BOARD OF HEALTHRA , AREA OF BASE OF SAS: 386 SF (.74) = 285 GPD APPROVED DATE , PERIMETER OF SAS: 121 FT. (2) (.74) = 179 N TOTALS: 628 SF 464 GPD REMOVE STONE FROM END OF SAS AND ADD (1) 500 GAL a CHAMBER (ACME OR EQUAL) WITH 3' STONE AT SIDES ANY END (SEE.HATCHED AREA). �Zo LOT 20A i 59,459 sf Z (1.37 ac) a LA 5 � 1 y N , NOTE: NO PART OF SEPTIC SYSTEM OR FILL FROM EXCAVATION SHALL BE PLACED IN EASEMENT AREA �i� PROP. VENT WITH CHARCOAL FILTER 00 AND BUGSCREEN (FINAL PLACEMENT BY 2,A CONTRACTOR WITH HOMEOWNER ` CONSULTATION) _ - REFERENCE PREVIOUSLY APPROVED SITE AND SEWAGE PLAN Y PREPARED FOR-PRESTIGE PROPERTIES, DATED 1/3/97 / SHED EXIST. SAS OF 5 MAXIMIZERS WITH / STONE IN 40' x 7' CONFIGURATION / ADD NEW D'BOX AND PIPE TO SAS AS SHOWN _ (TOP FEED MAXIMIZERS) � �DECK� EXIST. 1500 GAL. IN) (TOP TANK f-0 55.4'f � �---- EXIST. N , PROPOSED DWELL. ;ADDITION r- 20.1 f WATER ENTERS FRONT off 508-362-4541 fox 508 362-9880 7 I O? H- down cape engineering, inc. CIVIL ENGINEERS LAND SURVEYORS �_120 29 29.71' 939 main St. yarmouth, ma 02675 52� ,7 3 ,, ROAD 5II0OT FLYING HILL SITE PLAN SHOWING PROP. ADDITION AND MODIFICATION TO SEPTIC SYSTEM H OF AIA �SN OF 4q'5. c OF o� ARNE H. ARNE 267 SHO 0 T FL YINC HILL ROAD 0 OJALA H. �' IN THE TOWN OF: 0 CIVIL 19 OJA -- No. 3 z ., (CENTER VILLE) BARNSTABLE G s8 0� 4�_%6!f PREPARED FOR: LEONARD LEON A J LA, "�` DATE SCALE: 1 = 40' DATE: MAY 11, 2004 0 4—0 g 8 REV_ 5/28/04 SEPTIC PROFILE TEST HOLE LOGS T.O.F. AT EL. S 5 ACCESS COVER TO WITHIN Ir OF FIN. GRADE (NOT TO SCALO ACCESS COVER (WATERTIGHT) TO ENGINEER: WITHIN Er OF FIN. GRADE e� e'�- 0 MINIMUM .75' OF COVER OVER PRECAST 2% SLOPE REQUIRED OVER SYSTEM WITNESS: RUN PIPE LEVEL • DOUBLE WASHED PEASTONE DATE: FOR FIRST 2' PROPOSED 3' MAX. PERC. RATE _ �' r--� ' ` _` ' "-1 —i�,`4 / ,L ts GALLON SEPTIC 4-1 C, CLASS SOILS P# �2_L �I TANK (H- 10 GAS BAFFLE -4 % SLOPE) _9- CRUSHED STONE OR MECHANICAL -4 COMPACTION. (15.221 [21) 2' 4 ELEV. 47 DEPTH OF FLOW = -+ 1. 0" -.0 SLOPE) SLOPE) - To V-.4;. TEE SIZES: 3/4 112" DOJBLE WASHED STONE INLET DEPTH OUTLET DEPTH sCATION MAP SCALE 1" LEACHING 4112 7 1,4 PARCEL FOUNDATION— SEPTIC TANK BOX FACILITY ASSESSORS MAP �, M' ZONING DISTRICT: YARD SETBACKS: FRONT = SIDE = MG REAR S 15 yle PLAN REF. - _j C-3 Ali" FLOOD ZONE: voT 1,0 Al NO'ES: I v4o SEPTIC DESIGN- (GARBAGE DISPOSER IS 1 . DATUM. IS H-k A-1-0-A2L,t,_Al� '2 o 11 1-7rPD 2, VIlNIrIPA[ WATFR IS\K3 DESIGN FLOW: BEDROOMS GPD) USE A ;v)]aGPD DESIGN FLOW 3. MINIMUM PIPE PITCH TO BE 1/8- PER FOOT. SEPTIC TANK: �-9�OGPD 4. DESIGN LOADING FOR ALL PRECAST UN!TS TO BE AASHO H- 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A _L5_00 GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. LEACHING: ENVIRONMENTAL CODE TITLE V. 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT To BE. SIDES: USED FOR LOT LINE STAKING. t �,o s,'s 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. BC,! OM: TOTAL.- S.F. G P D 9. COMPONENTS NOT TO BE BACKIFILLED OR CONCEALED WITHOUT INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED NI 12, FROM BOARD OF HEALTH. LEGEND PLAN SITE AND SEWAGE so 100.0� PROPOSED SPOT ELEVATION OF 100)(0 EXISTING SPOT ELEVATION IN THE TOWN OF: 11 W PROPOSED CONTOUR ev EXISTING CONTOUR 100 PREPARED FOR: 0 BOARD OF HEALTH Aj APPROVED DATE M.A SCALE: DATE: oll off 506-�W-4541 fm 50!! 362-9W Of ERNE H down cape engineering, inc. I.A CIVIL OJALA 30M No. CIVIL ENGINEERS No 263" LAND SURVEYORS 939 main st, yarmouth, ma 02675 J 0 B ARNE H. OJALA, P.E., P.L.S. DATE